Multimodal prehabilitation combined with perioperative enhanced recovery after surgery care for older patients undergoing spinal fusion surgery in China: protocol for a multicentre randomised controlled trial (PRACTICE trial).

ABSTRACT:

Introduction

Besides the comorbid risk factors shared by older and younger patients, older individuals may also experience malnutrition, as well as cognitive or functional impairments. The accumulation of frailty and various geriatric syndromes in older individuals results in decreased physiological reserves, which makes the recovery process after spine surgery particularly challenging. Theoretically, combining the presurgery optimisation provided by a multimodal prehabilitation programme with the reduction of surgical stress provided by an enhanced recovery after surgery (ERAS) programme could improve postoperative recovery of older patients.

Methods and analysis

This is a prospective, multicentre, assessor-blinded, randomised controlled study. Patients who are 75 years of

SUBMITTER: Wang SK 

PROVIDER: S-EPMC11647379 | biostudies-literature | 2024 Dec

REPOSITORIES: biostudies-literature